Individual
JIHYE PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1567 PALISADE AVE STE 2A, FORT LEE, NJ 07024-6923
(201) 568-3424
Mailing address
1567 PALISADE AVE STE 2A, FORT LEE, NJ 07024-6923
(201) 568-3424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
22DI02485600
NJ
1223G0001X
General Practice Dentistry
Primary
22DI02485600
NJ
Other
Enumeration date
02/08/2012
Last updated
02/26/2025
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